| NPI | 1073857561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 113171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 85903) |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2023-02-21 |